HomeMy WebLinkAboutBLD2007-00454 !UILDING PERMIT APPLICAT•N ML Ty 471
Review Type: I
Jefferson County Department of Community Development
621 Sheridan Street Port Townsend, WA 98368
PERMIT #: BLD07-00454 Received Date: 8/15/2007
SITE ADDRESS: 4952 DABOB RD
QUILCENE, 98376
OWNER: PHILIP R MILLER PHONE: 360-765-0929
COLLEEN E MILLER
PO BOX 95
BRINNON WA 983200095
SUBDIVISION: Block: Lot:
PARCEL NUMBER: 701051017 Section: 5 Township: 27 N Range: 01 W
CONTRACTOR: SOUND BUILDING SYSTEMS PHONE: (360)437-1219
3546 THORNDYKE RD
PORT LUDLOW WA 98365-8229
Contractor's License SOUNDBS027NM Expires 8/19/2008
REPRESENTATIVE: PHONE:
PROJECT DESCRIPTIOP NEW POLE BUILDING - NO HEAT - NO PLUMBING
TYPE OF WORK GAR SQUARE FOOTAGE:
TYPE OF IMP NEW
VALUATION 9,273.00 MAIN:
CODE EDITION: 2006 ADD'L: HEAT TYPE:
OCCUPANCY: HEAT BASE: HEAT TYPE:
OCCUPANCY: UNHEATED: # OF STORIES:
CONST TYPE: OTHER: SHORELINE:
CONST TYPE: GARAGE: 576 SETBACK:
DECK: BANK HEIGHT:
SEWAGE DISPOSAL:
WATER SYSTEM:
BEDROOMS: BATHROOMS:
Exist: Exist:
Prop: 0 Prop: 0
Total: 0 Total: 0
Routing Date:
8 lisp h1c
Type Amount Paid Bv: Date: Receipt: Approved/Date
Permit $181.25 CJZ 08/15/07 9296 APPRDVEIJPlan Check $117.81 CJZ 08/15/07 9296
State Building Code $4.50 CJZ 08/15/07 9296
Total: $303.56 OCT 7
Jefferson County Plannin'
&Building Department
Jefferson County Building D�sion Permit Nur: BLD07-00454
Applicant: MILLER
BUILDING PERMIT INSPECTION APPROVALS \pplicable Code: 2006 International Building Codes
To schedule inspections, call (360)379-4455 no later than 7:00 AM the day of the inspection.
Requests received after 7:00 AM will not be scheduled for that day's inspections.
ELECTRICAL PERMITS are issued by the Washington State Department of Labor& Industries.
The electrical permit must be signed off by the State Inspector prior to the County's Framing Inspection
Inspection Item Date Approval Signature Notes
Setbacks
Erosion Control
Post Holes
Foundation Footing
Straps(hold downs)
Ext. Shear Wall Nailing
Framing
Insulation:Walls
Heat/Chimney Clearance
Drywell/Alt Drainage
Address Posted
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FINAL INSPECTION
FINAL INSPECTION MUST BE APPROVED PRIOR TO BUILDING BEING OCCUPIED
THIS PERMIT IS VALID FOR ONE YEAR
•
CONDITIONS for Building Permit# :BLD07-00454
1.) The application was reviewed by the Jefferson County Department of Community
Development staff on October 10, 2007 for the potential presence of Environmentally
Sensitive Areas (ESAs) under the provisions of the Unified Development Code (UDC).
After an initial Geographic Information Systems mapping review and an investigative site
inspection, the following ESAs were confirmed to be present on the subject property:
Osprey Habitat.
2.) Jefferson County has determined that the use of real property for agriculture and forestry
operations is a high priority and favored use in the county. The county will not consider to
be a nuisance those inconveniences or discomforts arising from such operations, if such
operations are consistent with commonly accepted best management practices in
compliance with local, state, and federal laws. If your real property includes or is within
five hundred (500) feet of real property designated as Rural Residential 1:10 or 1:20,
Rural Industrial, Rural Commercial, Agriculture, or Forestry, you may be subject to
inconveniences or discomforts arising from such farming and forestry operations,
including but not limited to noise, tree removal, odors, flies, fumes, dust, smoke, the
operation of farm and forestry machinery during any 24-hour period, the storage and
disposal or manure, and the application of permitted fertilizers and permitted pesticides.
One or more of these inconveniences may occur as a result of agricultural and forestry
operations which are in conformance with existing laws and regulations.
3.) The project shall adhere to the Best Management Practices (BMPs) to control stormwater,
erosion and sediment during construction. BMPs shall address permanent measures to
stabilize soil exposed during construction, and in the design and operation of stormwater
and drainage control systems.
4.) The applicant is proposing to create or add 576 square feet of impervious surface and 576
square feet of land disturbing activities. JCC 18.30.060 and 18.30.070 require your
proposal comply with Minimum Requirement#2 (Construction Stormwater Pollution
Prevention) of the Department of Ecology Stormwater Management Manual for Western
Washington to control stormwater, erosion and sediment during construction. BMPs shall
address permanent measures to stabilize soil exposed during construction, and in the
design and operation of stormwater and drainage control systems.
5.) The project shall comply with Construction Stormwater Pollution Prevention (SWPP)
Elements#1 through #12 of the Department of Ecology's Stormwater Management
Manual for Western Washington to control stormwater, erosion and sediment during
construction. BMPs shall address permanent measures to stabilize soil exposed during
construction, and in the design and operation of stormwater and drainage control systems.
6.) Jefferson County determined that this proposal is categorically exempt from review under
the State Environmental Policy Act(SEPA) pursuant to WAC 197-11-800(1)(b)(i).
7.) The site plan as submitted with the Building Permit application on August 15, 2007 has
been reviewed for consistency under the UDC, and has been approved by Jefferson
County Department of Community Development. Any modifications, changes, and/or
additions to the stamped, approved site plan dated October 18, 2007 shall be resubmitted
for review and approval by Jefferson County Department of Community Development.
8.) This approval is for a New Pole Building Garage only. Any future permits on this site are
subject to review for consistency with applicable codes and ordinances and does not
preclude review and conditions which may be placed on future permits.
9.) No plumbing has been reviewed or approved for this project by Jefferson County Public
Health. Additional requirements may apply if plumbing is proposed.
10.) The parcel has been designated as Rural Residential 1:5 under the Jefferson County
Comprehensive Land Use Map effective August 28, 1998.
11.) Outdoor residential storage shall be maintained in an orderly manner and shall create no
fire, safety, health or sanitary hazard.
12.) Not more than 2 unlicensed vehieishall be stored on any lot unless totally seined
from view of neighboring dwellings and rights-of-way. Such screening shall meet all
applicable performance and development standards specific to the district in which the
storage is kept, and shall be in keeping with the character of the area. Screening shall
meet the requirements of Chapter 18.30 JCC. Outdoor storage of 3 or more junk motor
vehicles is prohibited except in those districts where specified as an autormobile wrecking
yard or junk (or salvage) yard and allowed as a permitted use in Table 3-1 or Chapter
18.18 JCC, and such storage shall meet the requriements of JCC 18.20.100, Automobile
wrecking yards and junk (or salvage) yards. In no case, shall any such junk motor
vehicles be stored in a critical area.
13.) The building height is not to exceed 35 feet.
14.) Maximum lot coverage is not to exceed 25%. Lot coverage is defined as amount of
impervious surface which includes roof tops, driveways, concrete, etc.
15.) Dabob Road (C348808) is a County Minor Collector road. An address of 4952 Dabob
Road has been assigned to the parcel.
16.) Building setback from Dabob road right-of-way is no less than 20 ft., side setbacks are no
less than 5 ft. Rear building setback is 34 feet. If an environmentally sensitive area (ESA)
is present, then the more restrictive setback shall apply.
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��w o�� JEFFERS*OUNTY •
DEPARTMENT OF COMMUNITY DEVELOPMENT
'4 621 Sheridan Street • Port Townsend • Washington 98368
360/379-4450 • 360/379-4451 Fax
"qs, 0$ www.co.jefferson.wa.us/commdevelopment
HIND 1 5 �^^7
2 V
Master Permit Application MLA: !
Project Description (include separateseparate sheets as necessary): r
LCns t kci Ott e I aY'x2 �: I
4 X pole. 11u IGIIh`' �.re cj, ( no pja,,, �,;7
s Property f
Tax Parcel Number: -70 ► 0 s" I L, I - Size: 3 acr9square feet)
Site Address and/or Directions to Property: y 5 9 (]a 13,43 jUad , Q u,I ce.,e , t-.'A 18 3 7 L
Property Owner(s)of Record: ph, he Co Il e e I lc r
Telephone: 3 tc o- 71.S v 4 9 Fax: email:
Mailing Address: i 0 reoX 4 S, e ...„, wi A
Applicant/Agent(if different from owner): SoL,nci Au,I i S‘i,ie.. s ttt
Telephone: 3 L-C; -y 3 1- Is `t Fax: 3 4-v -y 3 -7- i . t email:
Mailing Address: .3."Nit• T►,cr,,d k e, Ro&d Port 1 r.cl oa } U)1 Is,
What kind of Permit?(Check each box that applies)
Ct}Building ❑Variance(Minor,Major or Reasonable Economic Use)
0 Demolition Permit ❑ Conditional Use[C(a),C(d),or C]**
❑Single Family ❑ Discretionary"D"or Unnamed Use Classification
[;}'Garage Attache4Detached% ❑ Special Use(Essential Public Facilities)'"
❑Manufactured Home` 0 Boundary Line Adjustment
❑Modular 0 Short Plat**
❑Commercial* 0 Binding Site Plan**
❑Change of Use ❑ Long Plat**
El Address ❑ Road Approach ❑ Planned Rural Residential Development(PRRD)/Amendments**
❑ Propane ❑ Plat Vacation/Alteration**
❑Allowed"Yes"Use Consistency Analysis 0 Shoreline Master Program Exemption/Permit Revisions**
❑ Stormwater Management ❑ Shoreline Management Substantial Development**
0 Site Plan Approval Advance Determination(SPAAD)* 0 Shoreline Management Variance
❑Temporary Use ❑ Comprehensive Plan/UDC/Land Use District Map Amendment
❑Wireless Telecommunication* ❑Jefferson County Shoreline Master Program Amendment
❑ Forest Practices Act/Release of Six-Year Moratorium
*May require a Pre—Application Conference **R uires a Pre-A lication Conference
Please identify any other local, state or federal permits required for this proposal, if known:
DESIGNATION OF AGENT
I hereby designate Sot,.,d u oft.e 5 In t t act as my agent in matters relating to this application for permit(s).
OWNER SIGNATURE Date: /= — G
By signing this application form,the owner/agen, attests that the information provided herein,and in any attachments,is true and correct to the best of
his,her or it's knowledge. Any material falsehood or any omission of a material fact made by the owner/agent with respect to this application packet may
result in this permit being null and void.
I further agree to save,indemnify and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and
expenses which may in any way accrue against Jefferson County as a result of or in consequence of the granting of this permit.
I further agree to provide access and right of entry to Jefferson County and its employees, representatives or agents for the sole purpose of application
review and cared
any r red ter inspections.Access and right of entry to this property shall be requested and shall occur only during regular business
hours. . �^ 9712,t,
Signature: ( i Date:
The action or actions Applicant will undertake as a result of the issuance of this permit may negatively impact upon one or more threatened or
endangered species and could lead to a potential"take"of an endangered species as those terms are defined in the federal law known as the
"Endangered Species Act"or"ESA.'Jefferson County makes no assurances to the applicant that the actions that will be undertaken because this permit
has been issued will not violate the ESA. Any individual,group or agency can file a lawsuit on behalf of an endangered species regarding your action(s)
even if you are in compliance with the Jefferson County development code.The Applicant acknowledges that he,she or it holds individual and non-
transferable respon • iliVqr a eying to an plying with t, E . The Applicant has read this disclaimer and signs and dates it below.
Signature: Date:
G:\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc
• BUILDER STATEMENT III
The signer of this statement does hereby certify that they are the Owners of the parcel referenced herein,that they are not licensed contractors and that
they will be assuming the responsibility of the General Contractor for the proposed project.
Signature: Date:
GENERAL CONTRACTOR OR MANUFACTURED HOME INSTALLER: PHONE: FAX:
5ouncl 8cttjcltn SySte.rv1� J R( ( 3&O) L/.37-1� ,5 (36.c') '/37- /.. /&
MAILING ADDRESS: ��j y �� �' d Y/�e_ Roc.ei EMAIL:
CONTRACTOR'S LICENSE Port L apt 4 o w, u�A <r'3 c-s.-. WAINS
NUMBER: . it L1.kr O 8 s 0 a.-1 N NI NUMBER
ARCHITECT/ENGINEER: ii i 1 t o `c_ L ttJ e r- PHONE ( ) FAX: ( )
MAILING ADDRESS: a-1oc Hla r ke I s-i. N C J EMAIL
Project Type: Frame Type: Bathrooms: Shoreline: Type of Sewage Disposal:
ii' New i . Wood Existing: ❑ Sewer
❑ Addition LI Steel Proposed: C Bank Height: ❑ Community System
❑ Alteration/Remodel I I Concrete Total: 54 Individual System
• Repair u Masonry SEP Permit#
❑ Demolition I-1 Other: Bedrooms: Water Supply:
Existing: Setback: ❑ Private well I Two Party
Type of Heat: Proposed: U ❑ Public
Total: Name of System:
If this is a Commercial Project you must answer the following:
Number of Parking Spaces: Current: Proposed: Number of ADA Parking Spaces:
Number of occupants(includes owners,tenants,employees,etc) Current Proposed
IBC Occupancy: IBC Type of construction: Will you have Food Service? Yes / No
If this is a Propane Tank and/or Appliance Installation permit, mark all items below that apply:
Underground Tank ❑ Above ground Tank Size of Propane Tank:
Li Heat Stove ❑ Cook Stove ❑ Woodstove ❑ Fireplace Insert ❑ Hot Water Tank Li Pellet Stove ❑ Other
Is this appliance being installed in a Manufactured/Mobile Home? Yes / No
When applying for a permit to install a propane tank you must also submit a site plan showing all of the buildings,all property
lines, tank location and size,distances from the propane tank to all property lines, buildings and septic system components,
including the reserve area.
Square Footage _ Current Proposed ' For Office Use OnlyAmount Revision
Main Floor Heated EH Bld App Review: Q
2ti0 Floor Heated Consistency Review: o
Other Heated Base fee: ---I j —
Mezzanine Additional Section:
Heated Basement Plan Check fee: • ^ t
11-1 Al
Unheated Basement State Surcharge fee: 5 a
Other Unheated - Pot Water Review fee: ____,,,,
Garage/Carport -f SUBTOTAL
'
•
Decks I 11/Rd Approach fee:
Other - _- —�
�Recetpt Nu er. -- 1 lq
I
`e
'Cash/ eck Number. �, `)
b� 1 5 (Q�
ESTIMATED COST(REQUIRED) Da I�'��
•Fair market;lue of all labor and materials foundation to finish O
Initials
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G.\PermitCenter\FORMS\DRD FORMS\Master Permit Application 12-30-05.doc